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The Leapfrog Group is a Washington, D.C.-based national nonprofit organization that’s been issuing letter grades to hospitals based on safety and quality since 2012. The grades are based on a hospital’s performance in preventing medical errors, injuries, accidents, infections and other harms to patients in their care. The organization releases grades twice a year, once in the spring and again in the fall, and is considered a tougher grader than the federal government, which doesn’t issue failing marks. 
"Flagler Health+ is committed to achieving the highest levels of quality and safety for our patients, visitors and team members," said spokeswoman Gina Mangus in an email. "We are extremely proud of our staff and physician partners, particularly this year, who have done an extraordinary job keeping our patients safe amid the unique challenges presented by the COVID-19 pandemic."

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